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General NPI Number Information
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NPI Number | 1306878814
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Entity Type | Organization
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Legal Business Name | S DEAN BROWN M D P C
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 7530 NW 23RD ST
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City | BETHANY
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State | OK
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Zip | 73008-4942
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Country | US
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Telephone | 405-787-4592
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Fax | 405-516-4468
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Provider Business Mailing Address
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Address Line | RR 1 BOX 122B
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City | CASHION
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State | OK
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Zip | 73016-9731
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Country | US
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Telephone | 405-433-5607
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Fax | 405-433-5622
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN DEAN BROWN
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Credential | M.D.
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Telephone | 405-787-4592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 13737
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License Number State | OK
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